Active NPI
Valentini Therapy LLC
- Adult Mental Health Clinic/Center
- Wheaton, IL
National Provider Identifier
1568969780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- 071-006131
- Legal business name
- VALENTINI THERAPY LLC
- Practice address
- 400 W Roosevelt Rd
Wheaton, IL 60187-2329 - Phone
- (630) 632-5158
- NPI assigned
- Apr 13, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Concordia Valentini, PSYD
- Title
- Clinical Psychologist
- Phone
- (630) 632-5158
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | 071-006131 | IL | Primary |
Addresses
Primary practice location
400 W Roosevelt Rd
Wheaton, IL 60187-2329
Mailing address
1020 E Kenilworth Ave
Lombard, IL 60148-3146
Phone (630) 632-5158
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
400 W Roosevelt Rd
Wheaton, IL 60187
Phone (630) 632-5158
400 W Roosevelt Rd
Ste 230
Wheaton, IL 60187
Phone (630) 632-5158
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Wheaton, IL
- NPI 1104885334
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523577600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1523577600000",
"number": "1568969780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 E KENILWORTH AVE",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601483146",
"telephone_number": "630-632-5158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W ROOSEVELT RD",
"city": "WHEATON",
"state": "IL",
"postal_code": "601872329",
"telephone_number": "630-632-5158"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALENTINI THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-13",
"last_updated": "2018-04-13",
"status": "A",
"authorized_official_last_name": "VALENTINI",
"authorized_official_first_name": "CONCORDIA",
"authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
"authorized_official_telephone_number": "630-632-5158",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "IL",
"license": "071-006131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wheaton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.